Insight, analysis & opinion from Joe Paduda
Looks like the glitches, gremlins, and guffaws are just about over; CMS reported today that enrollment via the exchanges is up to 4 million, an increase of some 700,000 over the last few weeks. That despite the ongoing efforts in … Continue reading Exchange enrollment – the big picture
Read More...Are all described in detail in Greg Jones’ terrific piece in this am’s WorkCompCentral. The 1,000 + word piece lays out the fraud perpetrated on California’s employers by the owner of Pacific Hospital, the complicity of two California legislators, and … Continue reading Fraud, huge profits, and long jail terms
Read More...It’s been a very busy week. Today Mitchell announced they’re going to buy specialty bill review firm FairPay Solutions. Makes sense for Mitchell, as FPS’ technology and expertise is unmatched in the business, and will add a lot of value … Continue reading Friday catch-up
Read More...Time to take off the CrankyPants and list all the reasons I really love workers’ comp – and yes, there are more than three! Work Comp is great because it has a REAL outcome – care is judged based on … Continue reading I Heart Workers’ Comp
Read More...The California Applicant Attorney’s Association says there’s a BIG problem with UR in California, and a recent analysis by CWCI is flawed and inaccurate. I don’t see it. Greg Jones’ piece in yesterday’s edition of WorkCompCentral digs deep into the … Continue reading UR in California’s a BIG problem…or not
Read More...On the off chance that an entity that owns a workers’ comp PPO ever thinks about selling it, here are a few things one may want to consider. Who owns the provider contracts? If the provider contracts are tied to … Continue reading Can you sell a workers’ comp network?
Read More...Three republican senators have proposed a bill – the Patient CARE Act – to replace PPACA aka Obamacare. Kudos to Senators Burr Coburn and Hatch for their efforts – and for staying away from the useless ideas of selling insurance … Continue reading The GOP’s Alternative to Obamacare
Read More...In about ten days, providers and payers struggling with opioids will get a big hand up. ACOEM will be releasing their just-completed Opioid Guidelines; they are comprehensive, extremely well-researched and well-documented, and desperately needed. I learned about the guidelines from … Continue reading Opioid guidelines are about to get a whole lot better
Read More...The week flew by, so I’m running to catch up on things I should’ve posted on earlier. Looks like mother Aetna is getting her arms around Coventry work comp; reports indicate about three dozen Coventry work comp IT folks were … Continue reading Friday’s catch up and quick takes
Read More...Talked with several folks in the industry about this deal, including Sedgwick CEO Dave North. Couple points worth highlighting. This has nothing to do with Mitchell International and there will not be any combination of the companies. For some … Continue reading Sedgwick under KKR – quick takes
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